• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • Important Note: We will be performing important server maintenance on 15 July 2020 , during which time this site will be unavailable for approximately 2 hours. If you are in the middle of something critical , please save your work. We apologize for any inconvenience this may cause.

Manipulation and Acupuncture

Messages
8
Location
Bridgeport, CT
Best answers
0
Hi I have a chiropractor that also does acupuncture on the same day as a manipulation. I am curious to know how people are billing these two codes together. I have gotten it paid (might not always be correct) with a modifier 59 on the 97810. I have also been told to put a 51 on the 98940 which to me is incorrect. I would love some input from people who code for chiropractors that provide both services together. a typical claim would look like this for me
98940
97810-59

thank you for your help!
 

CodingKing

True Blue
Messages
3,955
Best answers
1
There is no NCCI edit between the two codes so no -59 modifier should be required unless they payer has a custom edit. 51 is for multiple surgery reduction but that would not apply i this case since they are not surgical codes. Plus if they surgeries, payers want you to leave 51 off and to let them apply for the 50% multiple surgery reduction
 
Top